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EDYN MCKINNON
NPI 1235595604
Nurse Practitioner - Psychiatric/Mental Health in Axson, GA

Active since January 14, 2016PECOS Enrolled
3950 GA HIGHWAY 64 E, AXSON, GA 31624(912) 592-3152(628) 246-8299 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2024, Dec 23, 2020, Jan 14, 2016 (3 updates tracked since 2016).

About Edyn Mckinnon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDYN MCKINNON (NPI 1235595604) is an individual psychiatric/mental health provider in Axson, Georgia, licensed in Georgia (RN216659) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235595604
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDYN MCKINNON
Location Address3950 GA HIGHWAY 64 EAxson, GA 31624-2032
Mailing Address3950 Ga Highway 64 EAxson, GA 31624-2032
Phone(912) 592-3152
Fax(628) 246-8299
Sole ProprietorNo
Enumeration DateJanuary 14, 2016
Last NPPES UpdateSeptember 7, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2024
✔ NPI 1235595604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in GA · RN216659✔ Licensed in FL · 11021035
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN216659 (GA)
3950 GA HIGHWAY 64 E, Axson, GA 31624
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Secondary Practice Locations 2

Location 1408 Shirley AveDouglas, GA 31533-2002 · Phone (912) 592-3152
Location 21101 ocilla rddouglas, GA 31533 · Phone (912) 384-1900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edyn Mckinnon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edyn Mckinnon's NPI number?

The NPI number for Edyn Mckinnon is 1235595604. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Edyn Mckinnon located?

Edyn Mckinnon practices at 3950 Ga Highway 64 E, Axson, GA 31624. The listed phone number is (912) 592-3152.

What is Edyn Mckinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edyn Mckinnon enrolled in Medicare?

Yes. Edyn Mckinnon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edyn Mckinnon was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.